Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | M7506 | TX |
NPI | 1124019260 |
---|---|
Provider Name | Shabana Parvez |
First Address | Arlington, TX 76005-1103 |
Second Address | Arlington, TX 76005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2005 |
Last Update Date | 01/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
188377901 | (05) | TX |
188377906 | (05) | TX |
54007267 | (05) | NM |
8AA312 | BCBS (01) | TX |
8AB545 | BCBSTX (01) | TX |
G96771 | (02) | IA |
P00879699 | RRMCARE THRU HEB (01) | TX |